OLIVEIRA, Vânia et al. Correlação funcional e ecográfica no tratamento cirúrgico da coifa dos rotadores com seguimento superior a 5 anos. []. , 22, 1, pp.47-56. ISSN 1646-2122.

Aim: surgical repair of the rotator cuff aims to eliminate pain and restore function with a success rate between 5-90%. The size of the tear has impact on outcome. This study aims to evaluate effectiveness of the surgical repair with up to 5 years of follow-up and correlates functional outcome and ultrasound findings. Patients and Methods: from 2002 to 2007 the same surgeon performed 166 rotator cuff repairs in 156 patients. The same radiologist always performed pre- and postoperative ultrasound. Retrospectively were evaluated tear type, repair technique, suture material, complications, pain (VAS), return to work/activities and asked satisfaction. Seventy-seven patients completed follow-up (FU) with functional assessment (Constant-Murley score and UCLA Shoulder Score) and ultrasound, corresponding to 87 tears. Results: the mean age was 55.6 years (22-77) with FU 7.4 years (5-11). There were 145 (87.3%) complete tears, 14 (9.7%) massive and 61 (42.1%) large. The repair was arthroscopic in 122 (73.5%) cases and mini-open in 44 (26.5%). Functional assessment was 72 (31-100) Constant Score and 29 (19-35) UCLA Score. The VAS was 2.89 (0-8) with 29 (43.3%) asymptomatic patients. There were 4 complications (2.4%). Ultrasound identified 29/87 (33.3%) re-tears, 32.3% arthroscopic and 40.1% opened, noting that the open suture was used in larger tears. A total of 95.5% of patients resumed activities. When compared to preoperative, there was 100% satisfaction. Conclusion: this study strengthens the impact of surgical treatment on pain relief and its consistent effectiveness if careful selection. An ultrasound retear and function does not always correlate, other factors intervene.

: Rotator cuff; tear; arthroscopic repair; surgery; function; ultrasound; pain.

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